Post-traumatic headache after mild traumatic brain injury in a one-year follow up study - risk factors and return to work

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http://hdl.handle.net/10138/342241

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Kraemer , Y , Mäki , K , Marinkovic , I , Nybo , T , Isokuortti , H , Huovinen , A , Korvenoja , A , Melkas , S & Harno , H 2022 , ' Post-traumatic headache after mild traumatic brain injury in a one-year follow up study - risk factors and return to work ' , Journal of Headache and Pain , vol. 23 , no. 1 , 27 . https://doi.org/10.1186/s10194-022-01398-9

Title: Post-traumatic headache after mild traumatic brain injury in a one-year follow up study - risk factors and return to work
Author: Kraemer, Yvonn; Mäki, Kaisa; Marinkovic, Ivan; Nybo, Taina; Isokuortti, Harri; Huovinen, Antti; Korvenoja, Antti; Melkas, Susanna; Harno, Hanna
Contributor organization: HUS Neurocenter
Department of Neurosciences
Neurologian yksikkö
University of Helsinki
HUS Medical Imaging Center
Department of Diagnostics and Therapeutics
HUS Diagnostic Center
Clinicum
Date: 2022-02-19
Language: eng
Number of pages: 8
Belongs to series: Journal of Headache and Pain
ISSN: 1129-2369
DOI: https://doi.org/10.1186/s10194-022-01398-9
URI: http://hdl.handle.net/10138/342241
Abstract: Background Post-traumatic headache (PTH) is a common symptom following mild traumatic brain injury (mTBI). Patients at risk to develop acute PTH (aPTH) and further persistent PTH (pPTH) need to be recognized. Methods This is a one-year follow-up of 127 patients with mTBI, aged 18 to 68, referred to outpatient clinic in the Helsinki University Hospital. Symptoms were assessed at the emergency department (ED), with structured interview at outpatient clinic visit and with Rivermead post-concussion symptom questionnaire at one, three, and 12 months after injury. Psychiatric disorders were assessed with Structured Clinical Interview for DSM-IV Axis I disorders at 3-4 months and return to work (RTW) from patient records. Results At one month, 77/127 patients (61%) had aPTH. According to multiple logistic regression analysis, risk factors for aPTH were headache at the emergency department (ED) (OR 5.43), other pain (OR 3.19), insomnia (OR 3.23), and vertigo (OR 5.98). At three months, 17 patients (22% of aPTH patients) had developed pPTH, and at one year, 4 patients (24% of pPTH patients) still presented with pPTH. Risk factors for pPTH at three months were older age (OR 1.06) and current insomnia (OR 12.3). The frequency of psychiatric disorders did not differ between the groups. pPTH patients performed worse on their RTW. Conclusions Risk factors for aPTH were insomnia, headache at ED, other pain, and vertigo and for pPTH, insomnia and older age. RTW rate was lower among pPTH patients.
Subject: Risk factor
Brain injury
mTBI
Post-traumatic
Headache
PTH
COLLABORATING-CENTER
NATURAL-HISTORY
TASK-FORCE
MIGRAINE
PREVALENCE
RECOVERY
3112 Neurosciences
3124 Neurology and psychiatry
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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